The Standards of Practice and Standards of Professional Performance for Psychiatric and Mental Health
Nursing - specify the minimum levels of acceptable performance which can legally be used to describe
the standard of care that psychiatric mental health nurse practitioners (PMHNPs) must demonstrate
-Each standard for the psychiatric mental health registered nurse (PMH-RN) also applies to the PMHNP
role
17 standards of professional performance - Guide PMHNP practice:
Standard 1: Assessment
Standard 2: Diagnosis
Standard 3: Outcomes Identification
Standard 4: Planning
Standard 5: Implementation
Standard 6: Evaluation
Standard 7: Ethics
Standard 8: Cultural Humanity
Standard 9: Communication
Standard 10: Professional Collaboration
Standard 11: Leadership
Standard 12: Education
Standard 13: Evidence-Based Practice and Research
Standard 14: Quality of Practice
Standard 15: Professional Practice Evaluation
Standard 16: Resource Utilization
Standard 17: Environmental Health
PMHNP standards of Practice: Assessment - Standard 1: Assessment
The PMHNP must be able to perform a comprehensive, person-centered psychiatric and mental health
diagnostic evaluation, using relevant diagnostic tests and procedures. Evidence-based clinical practice
, guidelines inform screening and diagnostic activities when appropriate. Assessment may include a
multigenerational family assessment as well as the assessment of interactions between the individual,
family, community, and social systems as they relate to mental health.
PMHNP standards of Practice: Diagnosis - Standard 2: Diagnosis
The PMHNP must be able to use data obtained during the interview, examination, and diagnostic
procedures to develop standard psychiatric and substance use diagnoses. The PMHNP evaluates the
effects of psychiatric disorders on recovery, quality of life, and functional status and may examine the
impact of stressors, trauma, and situational crisis in the context of the family cycle. The PMHNP may
assist other staff in developing competence in the diagnostic process.
PMHNP standards of Practice: Outcomes Identification - Standard 3: Outcomes Identification
The PMHNP assists the PMH-RN to identify expected outcomes based on scientific evidence. Outcomes
identification includes consideration of costs, clinical effectiveness, satisfaction, consistency, and
continuity among providers. The PMHNP develops and applies clinical guidelines associated with
positive clinical outcomes.
PMHNP standards of Practice: Planning - Standard 4: Planning
The PMHNP applies current evidence and expert clinical knowledge to the identification of assessment
and diagnostic strategies and therapeutic interventions. Individualized plans of care incorporate the
client's beliefs and values and may include treatment modalities such as psychopharmacology and
psychodynamic, cognitive behavioral, and supportive interpersonal therapies.
PMHNP standards of Practice: Implementation - Standard 5: Implementation
PMHNPs facilitate the use of system and community resources to implement the plan of care. The
implementation standard incorporates coordination of care across disciplines; health teaching and
health promotion; consultation; prescriptive authority and treatment; pharmacological, biological, and
integrative therapies; milieu therapy, therapeutic relationships and counseling, and psychotherapy. The
PMHNP functions as the single point of accountability for all medical and psychiatric services.
PMHNP standards of Practice: Evaluation - Standard 6: Evaluation
PMHNPs evaluate the accuracy of diagnosis and effectiveness of interventions in reaching the client's
desired outcomes. Evaluation includes consideration of the impact of the plan of care on the client,
family, group, community, and institutions. Results of evaluations may lead to recommendations for
process, protocol, or policy changes.
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